GREGORY A GERGANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042882

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

GERGANS

Suffix

Business Name

GREGORY A GERGANS MD

Original Issue Date

09/16/1969

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

LOS ANGELES

State

Zip

90042

Ever Disciplined

LastModifiedDate

05/18/2016

Case Number

2015010407

Action

Refuse To Renew

Discipline Start Date

02/23/2016

Discipline Reason

after his application to participate in the Medical Assistance Program was denied.